Community Health Investment, Modernization, and Excellence Act of 2017

Extend funding for Community Health Centers- HR 3770, HR 6-funding for Community Health Centers opioid use prevention and treatment services, Implementation of state value-based payment models

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

Extend funding for Community Health Centers, HR 3770

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Presidents Budget Request; Medicare Access and CHIP Re-authorization Act of 2015(H.R.2); Senate Budget Resolution of (S.Con.Res.3); Further Continuing and Security Assistance Appropriations Act (H.R.2028). Community Health Investment, Modernization, and Excellence Act of 2017(H.R.3770/S.1899); Community Health and Medical Professionals Improve Our Nation Act (H.R.3922); Supplemental Disaster Appropriations(H.R.4872); Puerto Rico and Virgin Islands Equitable Rebuild Act of 2017(S.2165); Champion Kids Act(H.R.4541); Continuing Resolution(H.J.Res 124); Bi-partisan Budget Act (H.R.1892); Consolidated Appropriations Act(H.R. 1625).

Client expense: $220,000 · Firm income: Not reported

Alexander-Murray Bill on Cost-Sharing Reduction Funding and Section 1332 Waivers Bipartisan Budget Act of 2018 Community Health Investment, Modernization, and Excellence Act of 2017 (HR 3770, S. 1899) Community Health Centers Reauthorization CHIP reauthorization extended through 2027 MACRA - Revisions to the Medicare Access and Chip Reauthorization Act Changes to the Medicare Physician Fee Schedule National Health Service Corps reauthorization Repeal of IPAB (HR 849 - Protecting Seniors' Access to Medicare Act of 2017) EHR reduction of Hardships HR 1625 Consolidated Appropriations ACT of 2018 $4 billion in opioid treatment $2.3 billion for mental health programs: Increased funding for SAMHSAs Community Mental Health Services Block Grant (MHBG) and funding for SAMHSAs Programs of Regional and National Significance HR 195 - Healthy Kids Act - CHIP Reauthorization (passed as part of a Continuing Resolution) Increased funding and focus on the social determinants of health, including food - No specific bill HR 496 - S 128 The Bridge Act - DACA protections Prescription Drug Prices S. 771 - Improving Access to Affordable Prescription Drugs - Legislation that seeks to address prescription drug costs by increasing transparency and accountability, boosting access and affordability of key drugs, spurring innovation, and increasing choice and competition by allowing Medicare to negotiate the price of drugs, among other provisions. Efforts to address the cost of prescription drugs, including proposals to include the manufacturers suggested retail price in direct to consumer advertising of prescription drugs - no specific bill Opioids HR 1375 - Prescriber Support Act - Grants to states for programs to help prescribers (1) treat and manage patient pain; and (2) prevent, identify, and respond to patient substance misuse and substance abuse disorder HR 3528 - Every Prescription Conveyed Securely Act - mandated eprescribing of controlled substances S. 1554 - Safer Prescribing of Controlled Substances Act - Federal Mandates for Opioid Prescriber Education H.R.5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 - Federal Student Loan forgiveness for substance abuse prevention and treatment professionals HR 4097 - Medicare Beneficiary Opioid Addiction Treatment Act - access for Medicare beneficiaries to MAT Safe Injection Facilities - no specific bill HR 4778 - S. 2301 Behavioral Health Coverage Transparency Act- requirements for transparency in behavioral health coverage Expanded Access to MAT, Naloxone, treatment, prevention and recovery programs for substance abuse disorder - no specific bill Physician Burnout & Wellness - no specific bill Gun Violence HR 1832, S.834 - A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention. Make America Safe Again - Senator Markey bill to provide grants to states which implement strong gun safety laws S. 1701 - Fair Access to Science and Technology Act - changes to copyright protections for publications Telemedicine S. 870 - Creating High Quality Results and Outcomes Necessary to Improve Chronic Care HR 2556 - Connect for Health Act of 2017 Regulatory Issues Electronic medical records - efforts to streamline and improve interoperability DEA issues Updated regulations to implement Partial Fill law Updated regulations for Eprescribing of Controlled Substances Policies re Drug Substitutions Department of Labor : Definition of Employer Under Section 3(5) of ERISA - Association Health Plans (RIN 1210-AB85): Proposal creating association health plans Department of Health and Human Services: Protecting Statutory Conscience Rights in Health care, Delegations of Authority. 45 CFR, Part 88, HHS-OCR-2018-0002; RIN 0945-ZA03

Extend funding for Community Health Centers, HR 3770

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY2018 Community Health Center Appropriations Funding for ACA Community Health Center and National Health Service Corps Funding H.R.3770, CHIME Act H.R. 3922, CHAMPIONING HEALTHY KIDS Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Extend funding for Community Health Centers, HR 3770

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Presidents Budget Request; Medicare Access and CHIP Re-authorization Act of 2015(H.R.2); Senate Budget Resolution of (S.Con.Res.3); Further Continuing and Security Assistance Appropriations Act (H.R.2028). Community Health Investment, Modernization, and Excellence Act of 2017(H.R.3770/S.1899); Community Health and Medical Professionals Improve Our Nation Act (H.R.3922); Supplemental Disaster Appropriations(H.R.4872); Puerto Rico and Virgin Islands Equitable Rebuild Act of 2017(S.2165); Champion Kids Act(H.R.4541); Continuing Resolution(H.J.Res 124).

Client expense: $250,000 · Firm income: Not reported

Legislation to Repeal/Revise the Affordable Care Act Efforts to repeal and/or revise the Patient Protection and Affordable Care Act including funding of Cost Sharing Reduction Subsidies, changes to Medicaid, essential benefits requirements and elimination of the individual mandate. Alexander-Murray Bill on Cost-Sharing Reduction Funding and Section 1332 Waivers HR 1 Tax Cuts and Jobs Bill - PL 115-97 Elimination of the Individual mandate under the ACA Cuts to Medicare, Medicaid, domestic and Health Care Programs Impact on Medical Student loans HR 3770, S. 1899 - Community Health Investment, Modernization, and Excellence Act of 2017 - Community Health Centers Reauthorization S. 1827 Keep Kids Insurance Dependable and Secure - CHIP reauthorization HR 3922 Championing Healthy Kids Act - CHIP reauthorization Increased funding and focus on the social determinants of health, including food - No specific bill MACRA - Revisions to the Medicare Access and Chip Reauthorization Act - no specific bill Prescription Drug Prices S. 771 - Improving Access to Affordable Prescription Drugs - Legislation that seeks to address prescription drug costs by increasing transparency and accountability, boosting access and affordability of key drugs, spurring innovation, and increasing choice and competition by allowing Medicare to negotiate the price of drugs, among other provisions. Efforts to address the cost of prescription drugs, including proposals to include the manufacturers suggested retail price in direct to consumer advertising of prescription drugs - no specific bill Opioids Comprehensive Addiction and Recovery Act - Funding for opioid abuse prevention and treatment programs - no specific bill HR 1372 - Prescriber Support Act - Grants to states for programs to help prescribers (1) treat and manage patient pain; and (2) prevent, identify, and respond to patient substance misuse and substance abuse disorder ERX of Schedule II drugs - Efforts to make eprescribing of Schedule II drugs more feasible - no specific bill Safe Injection Facilities - no specific bill S. 1554 Safer Prescribing of Controlled Substances Act - Federal Mandates for Opioid Prescriber Education Federal Student Loan forgiveness for substance abuse prevention and treatment professionals - no specific bill Increased funding for SAMHSAs Community Mental Health Services Block Grant (MHBG) and funding for SAMHSAs Programs of Regional and National Significance Gun Violence HR 1832, S.834 - A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention. Telemedicine S. 870 - Creating High Quality Results and Outcomes Necessary to Improve Chronic Care HR 2556 - Connect for Health Act of 2017 HR 849 - Protecting Seniors' Access to Medicare Act of 2017 - Efforts to repeal IPAB Regulatory Issues CMS - Removal of Social Security Numbers from Medicare Cards Electronic medical records - efforts to streamline and improve interoperability - no specific bill DEA issues Updated regulations to implement Partial Fill law Updated regulations for Eprescribing of Controlled Substances. Executive Order creating Association Health Plans MedPac recommendations re MIPS

Legislation to Repeal/Revise the Affordable Care Act Efforts to repeal and/or revise the Patient Protection and Affordable Care Act including funding of Cost Sharing Reduction Subsidies, changes to Medicaid, essential benefits requirements and elimination of the individual mandate. Alexander-Murray Bill on Cost-Sharing Reduction Funding and Section 1332 Waivers HR 1 Tax Cuts and Jobs Bill - PL 115-97 Elimination of the Individual mandate in the ACA Cuts to Medicare, Medicaid, domestic and Health Care Programs Impact on Medical Student loans HR 3770, S. 1899 - Community Health Investment, Modernization, and Excellence Act of 2017 - Community Health Centers Reauthorization S. 1827 Keep Kids Insurance Dependable and Secure - SCHIP reauthorization Increased funding and focus on the social determinants of health, including food - No specific bill MACRA - Revisions to the Medicare Access and Chip Reauthorization Act - no specific bill Prescription Drug Prices S. 771 - Improving Access to Affordable Prescription Drugs - Legislation that seeks to address prescription drug costs by increasing transparency and accountability, boosting access and affordability of key drugs, spurring innovation, and increasing choice and competition by allowing Medicare to negotiate the price of drugs, among other provisions. Efforts to address the cost of prescription drugs, including proposals to include the manufacturers suggested retail price in direct to consumer advertising of prescription drugs - no specific bill Opioids Comprehensive Addiction and Recovery Act - Funding for opioid abuse prevention and treatment programs - no specific bill HR 1372 - Prescriber Support Act - Grants to states for programs to help prescribers (1) treat and manage patient pain; and (2) prevent, identify, and respond to patient substance misuse and substance abuse disorder ERX of Schedule II drugs - Efforts to make eprescribing of Schedule II drugs more feasible - no specific bill Safe Injection Facilities - no specific bill S. 1554 Safer Prescribing of Controlled Substances Act - Federal Mandates for Opioid Prescriber Education Federal Student Loan forgiveness for substance abuse prevention and treatment professionals - no specific bill Increased funding for SAMHSAs Community Mental Health Services Block Grant (MHBG) and funding for SAMHSAs Programs of Regional and National Significance Gun Violence HR 1832, S.834 - A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention. Telemedicine S. 870 - Creating High Quality Results and Outcomes Necessary to Improve Chronic Care HR 2556 - Connect for Health Act of 2017 HR 849 - Protecting Seniors' Access to Medicare Act of 2017 - Efforts to repeal IPAB Electronic medical records - efforts to streamline EMRs, improve interoperability - no specific bill DEA related issues Updated regulations to implement Partial Fill law Updated regulations for Eprescribing of Controlled Substances. MedPac recommendations re MIPS

Extend funding for Community Health Centers, HR3770, Medicaid reform proposals

Client expense: Not reported · Firm income: Not reported

Extend funding for Community Health Centers, HR3770, Medicaid reform proposals

Client expense: Not reported · Firm income: Not reported

FY18 NIH funding; FQHC funding; CDC Prevention Research Centers & REACH; Public Health Emergency Funding; National Biomedical Research Act S2624; H.R. 3770 Community Health Improvement Modernization and Excellence Act

Client expense: $20,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Presidents Budget Request; Medicare Access and CHIP Re-authorization Act of 2015(H.R.2); Senate Budget Resolution of (S.Con.Res.3); Further Continuing and Security Assistance Appropriations Act (H.R.2028). Community Health Investment, Modernization, and Excellence Act of 2017(H.R.3770/S.1899); Community Health and Medical Professionals Improve Our Nation Act (H.R.3722).

Client expense: $200,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Legislation to repeal the Affordable Care Act Graham-Cassidy-Heller-Johnson Amendment HR 1628 - The Health Care Freedom Act, 2017 Obamacare Repeal Reconciliation Act of 2017 HR 1628 - The Better Care Reconciliation Act of 2017 HR 3770, S. 1899 - Community Health Investment, Modernization, and Excellence Act of 2017 - Community Health Centers Reauthorization S. 1827 Keep Kids Insurance Dependable and Secure - SCHIP reauthorization Increased funding and focus on the social determinants of health, including food - No specific bill MACRA - Revisions to the Medicare Access and Chip Reauthorization Act - no specific bill Prescription Drug Prices S. 771 - Improving Access to Affordable Prescription Drugs - Legislation that seeks to address prescription drug costs by increasing transparency and accountability, boosting access and affordability of key drugs, spurring innovation, and increasing choice and competition by allowing Medicare to negotiate the price of drugs, among other provisions. Efforts to address the cost of prescription drugs, including proposals to include the manufacturers suggested retail price in direct to consumer advertising of prescription drugs - no specific bill Opioids Comprehensive Addiction and Recovery Act - Funding for opioid abuse prevention and treatment programs - no specific bill HR 1372 - Prescriber Support Act - Grants to states for programs to help prescribers (1) treat and manage patient pain; and (2) prevent, identify, and respond to patient substance misuse and substance abuse disorder ERX of Schedule II drugs - Efforts to make eprescribing of Schedule II drugs more feasible - no specific bill Safe Injection Facilities - no specific bill S. 1554 Safer Prescribing of Controlled Substances Act - Federal Mandates for Opioid Prescriber Education Federal Student Loan forgiveness for substance abuse prevention and treatment professionals - no specific bill Gun Violence HR 1832, S.834 - A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention. Telemedicine S. 870 - Creating High Quality Results and Outcomes Necessary to Improve Chronic Care HR 2556 - Connect for Health Act of 2017 S. 256 - SOAR to Health and Wellness Act of 2017 - Training for health care professionals to identify and treat victims of human trafficking. HR 2276 - Legislation which would redefine audiologists as physicians under Medicare HR 849 - Protecting Seniors' Access to Medicare Act of 2017 - Efforts to repeal IPAB Regulatory Issues CMS - Removal of Social Security Numbers from Medicare Cards 2018 Medicare Physician Fee Schedule: Revisions to Payment Policies under the Fee Schedule and Other Revisions to Part B for Cy 2018 (CMS-1676-P) 2018 Proposed Changes to the Quality Payment Program Proposed changes to reimbursement for clinical Laboratory Services pursuant to the Protecting Access to Medicare Act

Legislation to Repeal the ACA Graham-Cassidy-Heller-Johnson Amendment HR 1628 - The Health Care Freedom Act, 2017 Obamacare Repeal Reconciliation Act of 2017 HR 1628 - The Better Care Reconciliation Act of 2017 S. 1827 Keep Kids Insurance Dependable and Secure - SCHIP reauthorization HR 3770, S. 1899 - Community Health Investment, Modernization, and Excellence Act of 2017 - Community Health Centers Reauthorization Increased funding and focus on the social determinants of health, including food - No specific bill MACRA - Revisions to the Medicare Access and Chip Reauthorization Act - no specific bill Prescription Drug Prices S. 771 - Improving Access to Affordable Prescription Drugs - Legislation that seeks to address prescription drug costs by increasing transparency and accountability, boosting access and affordability of key drugs, spurring innovation, and increasing choice and competition by allowing Medicare to negotiate the price of drugs, among other provisions. Efforts to address the cost of prescription drugs including proposals to include the manufacturers suggested retail price in direct to consumer advertising. Opioids Comprehensive Addiction and Recovery Act - Funding for opioid abuse prevention and treatment programs - no specific bill HR 1372 - Prescriber Support Act - Grants to states for programs to help prescribers (1) treat and manage patient pain; and (2) prevent, identify, and respond to patient substance misuse and substance abuse disorder ERX of Schedule II drugs - Efforts to make eprescribing of Schedule II drugs more feasible-no specific bill S. 1554 Safer Prescribing of Controlled Substances Act - Federal Mandates for Opioid Prescriber Education Federal Student Loan forgiveness for substance abuse prevention and treatment professionals - no specific bill Gun Violence HR 1832, S.834 - A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention. Telemedicine S. 256 - SOAR to Health and Wellness Act of 2017 - Training for health care professionals to identify and treat victims of human trafficking. HR 2276 - legislation which would redefine audiologists as physicians under Medicare HR 849 - Protecting Seniors' Access to Medicare Act of 2017 - Efforts to repeal IPAB

FY2017 Community Health Center Appropriations Funding for ACA Community Health Center and National Health Service Corps Funding H.R.3770, CHIME Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE